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Most performance frameworks assume members can be reached, guided, and retained in care through conventional channels. But for a meaningful share of high-acuity populations, that assumption simply doesn’t hold. When engagement breaks down, quality scores fall, utilization rises, and financial pressure compounds.

Healthcare quality isn’t seasonal — and Medicaid shouldn’t be treated that way either. 

Healthcare spends billions trying to “engage” people, yet most experiences are confusing, bureaucratic, and built around how the system wants people to behave—not how people actually live. Engagement doesn’t come from reminders and portals alone. It comes from experience: simplicity, trust, personalization, and human connection.

In his recent conversation with Joao Camargo, MedZed COO Brandon Oliver shared how our approach goes beyond standard telephonic outreach.